Derek Widmayer, DMD

General Practice Dentistry · West Orange, NJ

Individual Active NPI

NPI number 1992803324

Practice location

769 Northfield Ave
Suite 154
West Orange, NJ 07052-1198
Phone
(973) 736-0111
Fax
(973) 325-3442

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NPI record

NPI
1992803324
Entity type
Individual (Type 1)
Enumeration date
September 20, 2006
Last updated
July 8, 2007
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 21260 NJ

About Dr. Widmayer

Derek Widmayer, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 769 Northfield Ave, Suite 154, West Orange, NJ 07052-1198. The NPI number 1992803324 was assigned on September 20, 2006 and the record was last updated on July 8, 2007.

Dr. Widmayer lists a license in the registry: #21260 (NJ) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Derek Widmayer, DMD?

The NPI number is 1992803324.

What is the phone number of Dr. Widmayer?

The phone number listed for the practice location is (973) 736-0111.

Where is Dr. Widmayer located?

769 Northfield Ave, Suite 154, West Orange, NJ 07052-1198.

What is the taxonomy code for Dr. Widmayer?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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